Community Health Workers to Improve Antenatal Care and PMTCT Uptake in Dar es Salaam, Tanzania
| Autor: | Nan Li, Pascal Geldsetzer, Mary Mwanyika Sando, Till Bärnighausen, Donna Spiegelman, Guerino Chalamilla, David Sando, Esther Mungure, Irene Andrew Lema, Wafaie W. Fawzi, Lameck Machumi, Lucy Magesa, Anna Mia Ekström, Helga Naburi, Dawn W. Foster, Deborah Kajoka |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Program evaluation HIV Infections Antenatal care Tanzania community health workers 0302 clinical medicine Pregnancy hemic and lymphatic diseases House call Pharmacology (medical) Community Health Services 030212 general & internal medicine Pregnancy Complications Infectious Child Referral and Consultation reproductive and urinary physiology education.field_of_study biology 030503 health policy & services Gestational age Prenatal Care maternal and child health female genital diseases and pregnancy complications performance evaluation 3. Good health House Calls Infectious Diseases Evaluation Studies as Topic Child Preschool Female Supplement Article 0305 other medical science Adult medicine.medical_specialty Anti-HIV Agents Population Developing country Prenatal care 03 medical and health sciences antenatal care Nursing medicine Humans education business.industry Infant Newborn Infant medicine.disease biology.organism_classification Infectious Disease Transmission Vertical Family medicine business Program Evaluation |
| Zdroj: | Journal of Acquired Immune Deficiency Syndromes (1999) |
| ISSN: | 1525-4135 |
| DOI: | 10.1097/qai.0000000000000371 |
| Popis: | Background: Home visits by community health workers (CHW) could be effective in identifying pregnant women in the community before they have presented to the health system. CHW could thus improve the uptake of antenatal care (ANC), HIV testing, and prevention of mother-to-child transmission (PMTCT) services. Methods: Over a 16-month period, we carried out a quantitative evaluation of the performance of CHW in reaching women early in pregnancy and before they have attended ANC in Dar es Salaam, Tanzania. Results: As part of the intervention, 213 CHW conducted more than 45,000 home visits to about 43,000 pregnant women. More than 75% of the pregnant women identified through home visits had not yet attended ANC at the time of the first contact with a CHW and about 40% of those who had not yet attended ANC were in the first trimester of pregnancy. Over time, the number of pregnant women the CHW identified each month increased, as did the proportion of women who had not yet attended ANC. The median gestational age of pregnant women contacted for the first time by a CHW decreased steadily and significantly over time (from 21/22 to 16 weeks, P-value for test of trend |
| Databáze: | OpenAIRE |
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